KU School of Business|Board Member Information

Please provide your contact information below.

Preferred Method of Contact

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Personal Information

Member Full Name

Member Preferred Name

What year did you join the advisory board?

KU or Other Degree(s)

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Other KU Connection

Birthday (Month/Day)

Spousal Information

Spouse Full Name

Spouse Preferred Name

KU or Other Degree(s)

Please enter each degree on a new line.

Other KU Connection

Birthday (Month/Year)

Home Address

Member Street Number

Member Apt/Suite Number

Member City

Member State

Member Zip Code

Member Email

Member Cell or Home Phone Number

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Business Information

Company Name

Job Title

Retired?

Business Address

Company Street Number

Company Office/Suite Number

Company City

Company State

Company Zip Code

Company Email

Company Phone Number

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Company Fax Number

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Administrative Assistant

Assistant Full Name

Assistant Preferred Name

Assistant Email

Assistant Phone Number

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Other Information

Professional and personal areas of focus, expertise, and passion where you would like to engage and benefit the school?

Dietary Restrictions/Allergies

Personal Interests and Hobbies

Board Awards and Honors